NCLEX-RN
NCLEX RN Client Needs Physiologic Adaptation Questions
Extract:
Question 1 of 5
The nurse is precepting a student nurse on leukemia classifications. Which statement by the student nurse reflects an understanding of classifications of leukemia?
Correct Answer: B
Rationale: Chronic myelogenous leukemia (CML) involves mostly granulocytes (
B) in the bone marrow. ALL onset is younger (
A), CML does not involve lymphocytes (
C), and AML includes various cells, not primarily granulocytes (
D).
Question 2 of 5
The nurse is preparing to remove a client's abdominal stitches as ordered by the health care provider. Which is the correct action by the nurse?
Correct Answer: B
Rationale: Hand washing and gloves (
B) are sufficient for stitch removal, a clean procedure. Soap/water (
A) is unnecessary, sterile technique (
C) is excessive, and full PPE (
D) is not required.
Question 3 of 5
A student nurse is precepting on the cardiac unit with the charge nurse. The charge nurse is educating the student about heart sounds and asks the student nurse to describe what causes the S1 sound. Which response by the student nurse reflects an understanding of cardiac sounds?
Correct Answer: A
Rationale: S1 is caused by the closure of mitral and tricuspid valves (
A) at the start of systole. Pulmonic and aortic valves (
C) cause S2, and other combinations (B,
D) are incorrect.
Question 4 of 5
The nurse is precepting a student nurse on leukemia classifications. Which statement by the student nurse reflects an understanding of classifications of leukemia?
Correct Answer: B
Rationale: Chronic myelogenous leukemia (CML) involves mostly granulocytes (
B) in the bone marrow. ALL onset is younger (
A), CML does not involve lymphocytes (
C), and AML includes various cells, not primarily granulocytes (
D).
Question 5 of 5
A client presents to the emergency room with severe pain in the upper right abdomen. The client is nauseated and has a temperature of 102.2°F. Which nursing action would be a priority at this time?
Correct Answer: B
Rationale: Obtaining vital signs (
B) is the priority to assess stability in a client with suspected cholecystitis or appendicitis. Pain relief (
A), fluids (
C), and surgery (
D) follow assessment.